Potential impact on his children and their family dynamics

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Establish goals in the following case study: The patient is a 45-year-old Hispanic male. The patient identifies himself as transgender and uses a female name. He presented to the office AAOX4 and was well-groomed and dressed in a female dress. The patient is married to a wife and has three children with her. The patient lives in a single-family home with his wife and children. He is currently employed as an investigator and police officer. The patient reports feelings of anxiety and depression. The patient stated he always had the feeling to identify himself as a woman, but because of his family and society, he never said anything to anybody. He has been married for eight years. He denies SI, A/V/H, and substance abuse. The patient feels worried and anxious because he does not know how bad it will impact his relationship with his children and marriage. While the patient's wife is supportive and has no complaints about his gender identity, the patient is worried about the potential impact on his children and their family dynamics. According to the patient, the wife supports him and does not have a c/o against him. His depression screening: PHQ-9 score of 10 (moderate.

Reference no: EM133786423

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